Individual provider Active NPI

Fayth Bloomer, CRNA

  • Certified Registered Nurse Anesthetist
  • Murrieta, CA
National Provider Identifier
1255756672
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000554 Issued in CA
Practice address
40404 California Oaks Rd Ste a
Murrieta, CA 92562-5786
Phone
(951) 304-0200
NPI assigned
Feb 21, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000554 CA Primary

Addresses

Primary practice location

40404 California Oaks Rd Ste a
Murrieta, CA 92562-5786

Mailing address

26013 Atherton Ave
Laguna Hills, CA 92653-6263
Phone (312) 404-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914001203 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810129004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

31469 Rancho Pueblo Rd
Suite 101
Temecula, CA 92592-4834
Phone (951) 303-3718

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95000554CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Jordan, M.D., Inc. CurrentSince Jun 3, 2017 Accepting new patients
United Medical Doctors CurrentSince Jul 15, 2017 Accepting new patients
HB Surgery Center, Inc. CurrentSince Jun 3, 2017 Accepting new patients
Foothill Anesthesia, Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
United Medical Doctors Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2017 Accepting new patients

Locations

261 Mobil Ave
Camarillo, CA 93010
Phone (805) 484-8552

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

301 S Fair Oaks Ave
Ste 301
Pasadena, CA 91105
Phone (626) 714-7347

207 S Santa Anita St
Ste G16
San Gabriel, CA 91776
Phone (626) 289-2223

2811 Wilshire Blvd
Ste 690
Santa Monica, CA 90403
Phone (310) 828-7239

31469 Rancho Pueblo Rd
Ste 101
Temecula, CA 92592
Phone (951) 303-3718

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255756672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26013 ATHERTON AVE",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926536263",
            "telephone_number": "312-404-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40404 CALIFORNIA OAKS RD STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625786",
            "telephone_number": "951-304-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMER",
        "first_name": "FAYTH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.